| BCBS Massachusetts | Stationary Ultrasonic Diathermy Devices | 2026-02-01 |
| BCBS Massachusetts | Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome | 2026-02-01 |
| BCBS Massachusetts | Transcutaneous Electrical Nerve Stimulation | 2026-02-01 |
| BCBS Massachusetts | Transthoracic Echocardiography (TTE) | 2026-02-01 |
| BCBS Massachusetts | Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | 2026-02-01 |
| BCBS Massachusetts | 451 Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia and Gastroparesis | 2026-02-01 |
| UHC Surest Medical and Drug | Electrical and Ultrasonic Bone Growth Stimulators - Commercial and Individual Exchange Medical Policy | 2026-02-01 |
| UHC Surest Medical and Drug | Gastrointestinal Disorders Diagnostic Procedures - Commercial and Individual Exchange Medical Policy | 2026-02-01 |
| UHC Surest Medical and Drug | Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases - Commercial and Individual Exchange Medical Policy | 2026-02-01 |
| UHC Surest Medical and Drug | Papzimeos(TM) (Zopapogene Imadenovec-Drba) - Commercial and Individual Exchange Medical Benefit Drug Policy | 2026-02-01 |